Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,839.00 / $8,247.00	Facility		$1,020.00	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,696.53 / $1,782.06 / $2,204.56	Professional		$1,696.53	$1,782.06	$2,204.56
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,480.74	Facility		$13,531.00	$27,840.00	$46,480.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,382.00 / $2,065.36 / $2,998.09	Professional		$1,382.00	$2,065.36	$2,998.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,528.89 / $2,084.48 / $3,234.55	Professional		$1,528.89	$2,084.48	$3,234.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,360.94 / $2,360.94 / $2,515.96	Professional		$2,360.94	$2,360.94	$2,515.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,426.00 / $1,887.02 / $5,958.00	Professional		$1,426.00	$1,887.02	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,123.30 / $3,841.60	Professional		$15.00	$2,123.30	$3,841.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,625.88 / $2,084.48 / $3,234.55	Professional		$1,625.88	$2,084.48	$3,234.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,535.53 / $1,535.53 / $1,580.87	Facility		$1,535.53	$1,535.53	$1,580.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,459.72 / $1,566.24 / $1,600.13	Professional		$1,459.72	$1,566.24	$1,600.13
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,322.00	Facility		$656.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,523.47 / $2,112.46 / $3,292.89	Professional		$1,523.47	$2,112.46	$3,292.89